# GOLD COUNTRY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOLD COUNTRY HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588669865
- **Authorized official:** STUART HARTMAN (V.P. OF OPERATIONS)
- **Authorized official phone:** (562) 257-5100

## Contact information

- **Practice address:** 4301 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6260
- **Practice address phone:** (530) 621-1100
- **Practice address fax:** (530) 621-1104
- **Mailing address:** 4301 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6260
- **Mailing address phone:** (530) 621-1100
- **Mailing address fax:** (530) 621-1104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030000229 | CA | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 10/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55180F | — | CA |